Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Release of Information Form

If the doctors at Centrasota Oral Surgeons require additional information regarding your health history, you will be asked to complete a Release of Information Form.  This form gives our staff permission to gather the necessary information relevant to your visit.  Please click below to download and complete the Release of Information form.